NPI Code Details Logo

NPI 1407720618

NPI 1407720618 : KYLA ELIZABETH LEVY : ST PETERSBURG, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407720618
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KYLA ELIZABETH LEVY
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/01/2025
-----------------------------------------------------
    Last Update Date     |    10/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8487 9TH ST N 
-----------------------------------------------------
    City                 |    ST PETERSBURG
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33702-3503
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    727-318-3224
-----------------------------------------------------
    Fax                  |    727-800-2333
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2555 NE 193RD ST UNIT 2120 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33180-3473
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-409-2668
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    RBT-25-470304
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.